EP1004047A1 - Laser scanning apparatus and method - Google Patents

Laser scanning apparatus and method

Info

Publication number
EP1004047A1
EP1004047A1 EP98933357A EP98933357A EP1004047A1 EP 1004047 A1 EP1004047 A1 EP 1004047A1 EP 98933357 A EP98933357 A EP 98933357A EP 98933357 A EP98933357 A EP 98933357A EP 1004047 A1 EP1004047 A1 EP 1004047A1
Authority
EP
European Patent Office
Prior art keywords
laser
scanning
lens
lenses
ablation
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP98933357A
Other languages
German (de)
French (fr)
Other versions
EP1004047A4 (en
Inventor
Paul Phillip Van Saarloos
Philip George Reid
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Q Vis Ltd
Original Assignee
Lions Eye Institute of Western Australia Inc
Q Vis Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Lions Eye Institute of Western Australia Inc, Q Vis Ltd filed Critical Lions Eye Institute of Western Australia Inc
Publication of EP1004047A1 publication Critical patent/EP1004047A1/en
Publication of EP1004047A4 publication Critical patent/EP1004047A4/en
Withdrawn legal-status Critical Current

Links

Classifications

    • G—PHYSICS
    • G02—OPTICS
    • G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
    • G02B26/00—Optical devices or arrangements for the control of light using movable or deformable optical elements
    • G02B26/08—Optical devices or arrangements for the control of light using movable or deformable optical elements for controlling the direction of light
    • G02B26/10—Scanning systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F9/00802—Methods or devices for eye surgery using laser for photoablation
    • A61F9/00804—Refractive treatments
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B23—MACHINE TOOLS; METAL-WORKING NOT OTHERWISE PROVIDED FOR
    • B23K—SOLDERING OR UNSOLDERING; WELDING; CLADDING OR PLATING BY SOLDERING OR WELDING; CUTTING BY APPLYING HEAT LOCALLY, e.g. FLAME CUTTING; WORKING BY LASER BEAM
    • B23K26/00—Working by laser beam, e.g. welding, cutting or boring
    • B23K26/08—Devices involving relative movement between laser beam and workpiece
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B23—MACHINE TOOLS; METAL-WORKING NOT OTHERWISE PROVIDED FOR
    • B23K—SOLDERING OR UNSOLDERING; WELDING; CLADDING OR PLATING BY SOLDERING OR WELDING; CUTTING BY APPLYING HEAT LOCALLY, e.g. FLAME CUTTING; WORKING BY LASER BEAM
    • B23K26/00—Working by laser beam, e.g. welding, cutting or boring
    • B23K26/08—Devices involving relative movement between laser beam and workpiece
    • B23K26/082—Scanning systems, i.e. devices involving movement of the laser beam relative to the laser head
    • G—PHYSICS
    • G02—OPTICS
    • G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
    • G02B26/00—Optical devices or arrangements for the control of light using movable or deformable optical elements
    • G02B26/08—Optical devices or arrangements for the control of light using movable or deformable optical elements for controlling the direction of light
    • G02B26/0875—Optical devices or arrangements for the control of light using movable or deformable optical elements for controlling the direction of light by means of one or more refracting elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/26—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00747—Dermatology
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22082—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance
    • A61B2017/22087—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance photodynamic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B2018/2035—Beam shaping or redirecting; Optical components therefor
    • A61B2018/20351—Scanning mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B2018/2035—Beam shaping or redirecting; Optical components therefor
    • A61B2018/20351—Scanning mechanisms
    • A61B2018/20355—Special scanning path or conditions, e.g. spiral, raster or providing spot overlap
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B2018/2035—Beam shaping or redirecting; Optical components therefor
    • A61B2018/205547—Controller with specific architecture or programmatic algorithm for directing scan path, spot size or shape, or spot intensity, fluence or irradiance
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F2009/00861—Methods or devices for eye surgery using laser adapted for treatment at a particular location
    • A61F2009/00872—Cornea
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F2009/00897—Scanning mechanisms or algorithms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N5/0613—Apparatus adapted for a specific treatment
    • A61N5/0616—Skin treatment other than tanning
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N5/0613—Apparatus adapted for a specific treatment
    • A61N5/0616—Skin treatment other than tanning
    • A61N5/0617—Hair treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N5/0613—Apparatus adapted for a specific treatment
    • A61N5/062—Photodynamic therapy, i.e. excitation of an agent

Definitions

  • the present invention relates to the field of laser processing or ablation of materials, and is of application in, for example, the field of laser procedures for the refractive correction of the eye, in operations such as photorefractive kerate ⁇ tomy (PRK) and laser in-situ keratomileusis (LASIK) .
  • PRK photorefractive kerate ⁇ tomy
  • LASIK laser in-situ keratomileusis
  • Solid state lasers such as the quintupled Nd.YAG laser at 213 nm and Er.YAG lasers at 2.94 microns, have also been used successfully to reshape the corneal surface.
  • a laser delivery system is used in these procedures to control the shape that is etched onto the cornea.
  • the ablated shape can be controlled by a variety of methods, including the use of a large beam, or a scanning beam, combined with masks, templates or diaphragms
  • US Patent No. 5,520,679 describes a scanning method using a low power, high repetition rate laser. Uniform beam density or a specific spot shape is not required.
  • the galvanometer scanning device is coupled with a computer controller, and synchronized with the laser's repetition rate to move in predetermined patterns.
  • a mathematical model for optimum beam overlap is provided, indicating that ablations should overlap between 50% and 80% to avoid a ridged corneal surface.
  • a laser scanning method for scanning material with a laser beam including directing a laser beam through a scanning means, wherein said scanning means includes a first lens and a second lens, the two lenses separated by a distance approximately equal to the focal length of one of the lenses, and said method includes controlling said beam by moving at least one of said lenses in a plane perpendicular to said beam to scan said material with said beam.
  • said method includes passing said beam through said second lens after said first lens, and the two lenses are separated by a distance approximately equal to the focal length of said second lens .
  • the method includes providing said laser beam by means of an Argon-Fluoride excimer laser (193 nm) or a solid state UV laser (190 - 215 nm) such as quintupled Nd:YAG lasers, or infra-red lasers such as Ho.YAG or Er.YAG lasers .
  • the method includes controlling the scanning means to scan the laser beam, and more preferably in predetermined patterns.
  • the method includes controlling said scanning means by means of computer means .
  • the first lens may have a focal length substantially longer than the second lens.
  • the present invention also provides a scanning apparatus for scanning material with a laser beam including laser means for producing a beam of ultraviolet or infra-red light, scanning means for scanning the laser source in a predetermined pattern onto an area of the material and controlling means for controlling said scanning means, wherein said scanning means includes two lenses, separated by a distance approximately equal to the focal length of one of the lenses.
  • the laser means is an ablation laser
  • the laser means is an UV ablation laser such as an Argon fluoride excimer laser, quintupled Nd.YAG, or a quadrupled Ti:Sapphire laser, or an infra-red ablation laser such as Er.YAG, or an intrastromal ablation laser such as a Ho:YAG, Nd.YAG or Nd.YLF laser.
  • the laser means would preferably be a visible or near infra-red laser such as Nd.YAG or Nd.YLF.
  • the scanning means is controllable to scan said laser beam, and more preferably to scan said laser beam in predetermined patterns.
  • the scanning means is controllable to scan said beam to follow, or compensate for, movements of said material .
  • the scanning means can scan the beam to compensate for movement of the material.
  • controlling means includes a microprocessor means or a computer means .
  • the apparatus is for scanning a laser across the cornea of an eye in surgical procedures such as PRK, LASIK, intrastromal ablation, or across the lens in a phaco- e ulsification procedure.
  • One of the two lenses may have a focal length substantially longer than the other.
  • the apparatus is for scanning skin with any one of various laser beams by directing any one of said laser beams through said scanning means .
  • the present invention further provides a method for ablating human or animal tissue including directing a laser beam through a scanning means onto an area of said tissue to thereby ablate said tissue, wherein said scanning means includes two lenses, separated by a distance equal to the focal length of one of the lenses, and said method includes controlling said beam by moving at least one of said lenses in a plane perpendicular to said beam to scan said material with said beam.
  • said tissue is corneal tissue.
  • said tissue is lens tissue and said method is for breaking up a lens prior to cataract surgery.
  • Preferably said method is used to correct refractive errors of eyesight, by PRK, LASIK or intrastromal ablation.
  • the scanning means is controllable to scan the laser beam.
  • the scanning means is controllable to scan the laser beam in predetermined patterns and/or follow movements of said material.
  • a laser scanning method for scanning skin with various laser beams by directing said laser beams through said scanning means.
  • a scanning apparatus for scanning skin with various laser beams by directing said laser beams through said scanning means .
  • said laser beams are provided by any laser used for dermatological uses, hair removal or photodynamic therapy.
  • the first lens is mounted in a mount and said mount is attached to a static mount by means of two pairs of linear bearings or slides, and wherein said pairs of bearings or slides are either arranged with respect to each other, or attached to each other, at right angles.
  • Figure 1 is a schematic view of an arrangement of a laser scanning apparatus according to the present invention, with an eye under examination;
  • Figure 2A is a side view of the lens holder frame of the first lens of the laser scanning apparatus of figure 1;
  • Figure 2B is a plan view of the lens holder frame of the first lens of the laser scanning apparatus of figure 1;
  • Figure 3 shows a plan view of the scanner mount of the laser scanning apparatus of figures 2A and 2B.
  • a laser scanning apparatus for use in laser ablation is shown generally at 10 in Figure 1.
  • the apparatus 10 includes first and second lenses 11 and 12 and a laser source 14.
  • the distance 16 between the lenses 11 and 12 is approximately equal to the focal length of second lens 12.
  • First or scanning lens 11 is movable in the plane 18 perpendicular to incident laser beam 20, and is manipulated by a computer controlled scan driver.
  • First lens 11 is in the preferred embodiment a low powered, and may be a diverging or a converging lens.
  • Second lens 12 is a converging lens.
  • the exit beam 22 is scanned over the material being ablated, for example cornea 24 of eye 26, by moving first lens 11 in plane 18 to direct beam 28 through second or focussing lens 12.
  • Exit beam 22 emerges from second lens 12 parallel to original beam 20, but displaced vertically and/or laterally according to the position of first lens 11.
  • the output of the laser source 14 may be deposited as desired on cornea 24.
  • the first lens 11 is mounted in a frame or holder 30.
  • the holder 30 with first lens 11 is shown in figures 2A and 2B.
  • the holder 30 is preferably made of a material which is light and corrosion-resistant, such as aluminium.
  • a pair of linear bearings (not shown) are joined together at right angles and mounted between lens holder 30 and static mount 40, attached at points 43 and 32.
  • a second pair of right angle bearings are mounted at points 33 and
  • the lens holder 30 sits in apposition with mount 40, and the motors, bearings and electronics which drive the first lens 11 in the lens holder 30 are connected through it.
  • Mount 40 includes an independent position sensor 42 and drive access aperture 44.
  • the beam 20 passes through aperture 46 (in front of which is located the first lens 11).
  • the bearings may be linear bearings, or most preferably, high quality linear slides. They are arranged such that the first lens 11 is movable in any direction: it may be moved in the Y direction (up or down) , the X direction (left to right) or XY direction (up and right or down and left etc.). The beam 28 can thereby be scanned in a circle or moved to trace any desired pattern.
  • DC motors with digital encoders are used to drive a linear belt system which in turn, moves the bearings, driving the part where the two 90° bearings are joined.
  • DC motors with ⁇ 0.013 mm resolution may be used, such that the lens can be moved to any arbitrary place on an approximately 40 mm x 40 mm area, which approximates an arbitrary grid of 3000 by 3000 encoder counts. This may correspond to the beam being directed to an approximately 10 mm x 10 mm grid on the eye.
  • a digital position controller such as one based on HP HCTL 1100, is used to produce the signal that drives the motors.
  • a pulsewidth modulator amplifier is used to amplify the signal from the controller and propel the motors.
  • Software is used to determine the direction and speed of the movements .
  • any suitable combination of lenses may be used according to the requirements of the laser source.
  • two plano-convex lenses may be used.
  • the scanning lens 11 has a focal length of around 1.0 metre.
  • the focussing lens 12, also plano-convex, has a focal length of around 280 mm.
  • the second lens 12 is thus placed about 280 mm behind the scanning lens 11.
  • the scanning lens 11 is a diverging lens with a focal length of around 2.0 metres, and the focussing lens 12 has a focal length of approximately 1.0 metre.
  • lenses may include concave/convex or convex/convex.
  • An additional lens may also be included, before the scanning lens or between the scanning and focussing lens.
  • second lens 12 may be a combination of lenses after the scanning lenses .
  • Index sensors are used to determine the centre and end positions of the bearings.
  • a redundant sensor in the form of a linear photodiode, is used to check that the scanner lens travels to the correct software-directed position.

Abstract

The present invention provides a method for scanning material with a laser beam including directing a laser beam (20) through a scanning means, wherein said scanning means includes a first lens (11) and a second lens (12) separated by a distance (16) approximately equal to the focal length of the lenses. The method includes controlling the beam (20) by moving at least one of the lenses in a plane perpendicular to the beam to scan the material. The invention also provides a scanning apparatus for scanning material with a laser beam including laser means for producing a beam of ultraviolet or infra-red light, scanning means for scanning the laser source in a predetermined pattern onto an area of the material, and controlling means for controlling the scanning means, wherein the scanning means includes two lenses, separated by approximately the focal length of one of the lenses, with at least one of the lenses movable perpendicular to the beam to scan the beam.

Description

LASER SCANNING APPARATUS AND METHOD
The present invention relates to the field of laser processing or ablation of materials, and is of application in, for example, the field of laser procedures for the refractive correction of the eye, in operations such as photorefractive kerateσtomy (PRK) and laser in-situ keratomileusis (LASIK) .
Refractive surgery is currently performed with the excimer laser, which operates at a wavelength of 193 nm. Solid state lasers, such as the quintupled Nd.YAG laser at 213 nm and Er.YAG lasers at 2.94 microns, have also been used successfully to reshape the corneal surface. Regardless of the laser source, a laser delivery system is used in these procedures to control the shape that is etched onto the cornea. The ablated shape can be controlled by a variety of methods, including the use of a large beam, or a scanning beam, combined with masks, templates or diaphragms
(see, for example, US Patent No. 5,474,549). Other systems include apparatus that scan the beam across the area to be ablated in a predetermined pattern.
Large beam control systems using masks and diaphragms require large, high energy laser sources, which entail increased running and maintenance costs . These systems are also inflexible and limited in their ability to produce complicated shapes on the material to be ablated. In comparison, scanning methods require smaller, lower energy laser sources, making them more space and cost efficient. It is also easier to control the desired shape of the ablation using a scanning method (Ren, Simon and Parel, 1993) . Different mechanisms for scanning the beam across the surface to be ablated have been suggested in a number of prior art patents. US Patent No. 4,718,418 teaches the use of a commercially available scanning unit to scan a rounded-square spot of 0.5 mm by 0.5 mm across the surface to be scanned. The inventors suggest that no overlap should occur between individual pulses, with the areas of greater tissue removal, such as the central cornea in a myopic correction, to be scanned with the square dot more often than those areas with less material to be removed.
US Patent No. 5,520,679 describes a scanning method using a low power, high repetition rate laser. Uniform beam density or a specific spot shape is not required. The galvanometer scanning device is coupled with a computer controller, and synchronized with the laser's repetition rate to move in predetermined patterns. A mathematical model for optimum beam overlap is provided, indicating that ablations should overlap between 50% and 80% to avoid a ridged corneal surface.
As described above, electrical galvanometer scanners have been used as mechanisms for scanning the laser beam in prior art devices. These scanning systems utilise mirrors mounted on galvanometer apparatus, which thereby produce a motion to move the mirrors to scan the beam in a predetermined pattern in X or Y or X-Y directions. However, a number of disadvantages are associated with galvanometer scanning systems. The amount of light reflected by the mirrors in such systems is dependent on the angle of these mirrors . Changing the angle of the galvanometer mounted mirrors may alter the energy of the laser beam delivered to the cornea. The beam path length may also be affected by the galvanometer mirrors. Any change to the path length may subsequently result in a loss of beam focus. If the distance from the scanner to the eye is not well controlled, then the position of the laser as it hits the eye cannot be properly predicted and the resultant surgery will be inaccurate.
It is therefore an object of the present invention to provide an improved scanning laser beam control system that can overcome one or more of the limitations of the prior art scanning systems and more accurately and predictably ablate a desired shape into a material.
It is a further object of the present invention to provide a scanning system that can be more easily fitted to non- scanning laser systems .
Thus, according to the present invention there is provided a laser scanning method for scanning material with a laser beam including directing a laser beam through a scanning means, wherein said scanning means includes a first lens and a second lens, the two lenses separated by a distance approximately equal to the focal length of one of the lenses, and said method includes controlling said beam by moving at least one of said lenses in a plane perpendicular to said beam to scan said material with said beam.
Preferably said method includes passing said beam through said second lens after said first lens, and the two lenses are separated by a distance approximately equal to the focal length of said second lens . Preferably the method includes providing said laser beam by means of an Argon-Fluoride excimer laser (193 nm) or a solid state UV laser (190 - 215 nm) such as quintupled Nd:YAG lasers, or infra-red lasers such as Ho.YAG or Er.YAG lasers .
Preferably the method includes controlling the scanning means to scan the laser beam, and more preferably in predetermined patterns.
Preferably the method includes controlling said scanning means by means of computer means .
The first lens may have a focal length substantially longer than the second lens.
The present invention also provides a scanning apparatus for scanning material with a laser beam including laser means for producing a beam of ultraviolet or infra-red light, scanning means for scanning the laser source in a predetermined pattern onto an area of the material and controlling means for controlling said scanning means, wherein said scanning means includes two lenses, separated by a distance approximately equal to the focal length of one of the lenses.
Preferably said first and second lenses are arranged so that said beam passes through said second lens after said first lens, and the two lenses are separated by a distance approximately equal to the focal length of said second lens. Preferably the laser means is an ablation laser, and more preferably the laser means is an UV ablation laser such as an Argon fluoride excimer laser, quintupled Nd.YAG, or a quadrupled Ti:Sapphire laser, or an infra-red ablation laser such as Er.YAG, or an intrastromal ablation laser such as a Ho:YAG, Nd.YAG or Nd.YLF laser. For example, for intrastromal, or lens ablation, the laser means would preferably be a visible or near infra-red laser such as Nd.YAG or Nd.YLF.
Preferably the scanning means is controllable to scan said laser beam, and more preferably to scan said laser beam in predetermined patterns.
Preferably the scanning means is controllable to scan said beam to follow, or compensate for, movements of said material .
Thus, the scanning means can scan the beam to compensate for movement of the material.
Preferably the controlling means includes a microprocessor means or a computer means .
Preferably the apparatus is for scanning a laser across the cornea of an eye in surgical procedures such as PRK, LASIK, intrastromal ablation, or across the lens in a phaco- e ulsification procedure.
One of the two lenses may have a focal length substantially longer than the other. Preferably the apparatus is for scanning skin with any one of various laser beams by directing any one of said laser beams through said scanning means .
The present invention further provides a method for ablating human or animal tissue including directing a laser beam through a scanning means onto an area of said tissue to thereby ablate said tissue, wherein said scanning means includes two lenses, separated by a distance equal to the focal length of one of the lenses, and said method includes controlling said beam by moving at least one of said lenses in a plane perpendicular to said beam to scan said material with said beam.
Preferably said tissue is corneal tissue.
Alternatively said tissue is lens tissue and said method is for breaking up a lens prior to cataract surgery.
Preferably said method is used to correct refractive errors of eyesight, by PRK, LASIK or intrastromal ablation.
Preferably the scanning means is controllable to scan the laser beam.
Preferably the scanning means is controllable to scan the laser beam in predetermined patterns and/or follow movements of said material.
In one preferred embodiment, there is provided a laser scanning method for scanning skin with various laser beams by directing said laser beams through said scanning means. In another preferred embodiment, there is provided a scanning apparatus for scanning skin with various laser beams by directing said laser beams through said scanning means .
Preferably said laser beams are provided by any laser used for dermatological uses, hair removal or photodynamic therapy.
Preferably the first lens is mounted in a mount and said mount is attached to a static mount by means of two pairs of linear bearings or slides, and wherein said pairs of bearings or slides are either arranged with respect to each other, or attached to each other, at right angles.
Preferred embodiments of the invention will be described by way of example with reference to the accompanying drawing, in which:
Figure 1 is a schematic view of an arrangement of a laser scanning apparatus according to the present invention, with an eye under examination;
Figure 2A is a side view of the lens holder frame of the first lens of the laser scanning apparatus of figure 1; Figure 2B is a plan view of the lens holder frame of the first lens of the laser scanning apparatus of figure 1; and
Figure 3 shows a plan view of the scanner mount of the laser scanning apparatus of figures 2A and 2B.
A laser scanning apparatus for use in laser ablation is shown generally at 10 in Figure 1. The apparatus 10 includes first and second lenses 11 and 12 and a laser source 14. The distance 16 between the lenses 11 and 12 is approximately equal to the focal length of second lens 12. First or scanning lens 11 is movable in the plane 18 perpendicular to incident laser beam 20, and is manipulated by a computer controlled scan driver. First lens 11 is in the preferred embodiment a low powered, and may be a diverging or a converging lens. By using a focal length for first lens 11 much longer than that of second lens 12, the resolution of controlling the position of the beam on the eye will be much higher than the resolution of controlling the position of first lens 11. Second lens 12 is a converging lens.
In use, the exit beam 22 is scanned over the material being ablated, for example cornea 24 of eye 26, by moving first lens 11 in plane 18 to direct beam 28 through second or focussing lens 12. Exit beam 22 emerges from second lens 12 parallel to original beam 20, but displaced vertically and/or laterally according to the position of first lens 11. Thus, the output of the laser source 14 may be deposited as desired on cornea 24.
The first lens 11 is mounted in a frame or holder 30. The holder 30 with first lens 11 is shown in figures 2A and 2B. The holder 30 is preferably made of a material which is light and corrosion-resistant, such as aluminium.
A pair of linear bearings (not shown) are joined together at right angles and mounted between lens holder 30 and static mount 40, attached at points 43 and 32. A second pair of right angle bearings are mounted at points 33 and
45. The lens holder 30 sits in apposition with mount 40, and the motors, bearings and electronics which drive the first lens 11 in the lens holder 30 are connected through it. Mount 40 includes an independent position sensor 42 and drive access aperture 44. The beam 20 passes through aperture 46 (in front of which is located the first lens 11).
The bearings may be linear bearings, or most preferably, high quality linear slides. They are arranged such that the first lens 11 is movable in any direction: it may be moved in the Y direction (up or down) , the X direction (left to right) or XY direction (up and right or down and left etc.). The beam 28 can thereby be scanned in a circle or moved to trace any desired pattern.
DC motors with digital encoders are used to drive a linear belt system which in turn, moves the bearings, driving the part where the two 90° bearings are joined. DC motors with ~0.013 mm resolution may be used, such that the lens can be moved to any arbitrary place on an approximately 40 mm x 40 mm area, which approximates an arbitrary grid of 3000 by 3000 encoder counts. This may correspond to the beam being directed to an approximately 10 mm x 10 mm grid on the eye. A digital position controller, such as one based on HP HCTL 1100, is used to produce the signal that drives the motors. A pulsewidth modulator amplifier is used to amplify the signal from the controller and propel the motors. Software is used to determine the direction and speed of the movements .
Any suitable combination of lenses may be used according to the requirements of the laser source. In one arrangement, used with an excimer laser, two plano-convex lenses may be used. The scanning lens 11 has a focal length of around 1.0 metre. The focussing lens 12, also plano-convex, has a focal length of around 280 mm. The second lens 12 is thus placed about 280 mm behind the scanning lens 11. In a second arrangement, the scanning lens 11 is a diverging lens with a focal length of around 2.0 metres, and the focussing lens 12 has a focal length of approximately 1.0 metre.
Other arrangements of lenses may include concave/convex or convex/convex. An additional lens may also be included, before the scanning lens or between the scanning and focussing lens. In this type of arrangement, second lens 12 may be a combination of lenses after the scanning lenses .
Two sensor units are also used in the scanner design. Index sensors are used to determine the centre and end positions of the bearings. A redundant sensor, in the form of a linear photodiode, is used to check that the scanner lens travels to the correct software-directed position.
Modifications within the spirit and scope of the invention may be readily affected by those skilled in the art. It is to be understood therefore that this invention is not limited to the particular embodiment described by way of example hereinabove.

Claims

THE CLAIMS DEFINING THE INVENTION ARE AS FOLLOWS:
1. A method for scanning material with a laser beam including directing a laser beam through a scanning means, wherein said scanning means includes a first lens and a second lens, said first and second lenses separated by a distance approximately equal to the focal length of one of said first and second lenses, and said method includes controlling said beam by moving at least one of said first and second lenses in a plane perpendicular to said beam to scan said material with said beam.
2. A method as claimed in claim 1, including passing said beam through said second lens after said first lens, and the two lenses are separated by a distance approximately equal to the focal length of said second lens .
3. A method as claimed in either claim 1 or 2, including providing said laser beam by means of an ablation laser.
4. A method as claimed in either claim 1 or 2, including providing said laser beam by means of an UV ablation laser, or an infra-red ablation laser or an intrastromal ablation laser.
5. A method as claimed in either claim 1 or 2, including providing said laser beam by means of an Argon fluoride excimer laser, a quintupled Nd:YAG UV ablation laser, a quadrupled Ti:Sapphire UV ablation laser, an Er:YAG infra- red ablation laser, or a Ho:YAG, Nd:YAG or Nd:YLF intrastromal ablation laser.
6. A method as claimed in any one of the preceding claims, including controlling said scanning means to scan said laser beam.
7. A method as claimed in claim 6, including controlling said scanning means to scan said laser beam in predetermined patterns .
8. A method as claimed in either claim 6 or 7, including controlling said scanning means by means of computer means.
9. A method as claimed in any one of the preceding claims, wherein said first lens has a focal length substantially longer than said second lens .
10. A method as claimed in any one of the preceding claims, wherein said method is for ablating human or animal tissue.
11. A method as claimed in claim 10, wherein said tissue is corneal tissue.
12. A method as claimed in claim 11, wherein said method is for correcting refractive errors of eyesight.
13. A method as claimed in claim 12, wherein said method is for use in PRK, LASIK or intrastromal ablation.
14. A method as claimed in any one of claims 1 to 10, wherein said tissue is the lens of the eye, the laser beam is provided by a pulsed visible or near infra-red laser and the method is for breaking up the lens prior to cataract surgery.
15. A method as claimed in any one of the preceding claims, wherein said method is for scanning skin with various laser beams.
16. A method as claimed in any one of the preceding claims, including controlling said scanning to follow, or compensate for, movements of said material.
17. A scanning apparatus for scanning material with a laser beam including: laser means for producing a beam of ultraviolet or infra-red light; scanning means for scanning the laser source in a predetermined pattern onto an area of the material; and controlling means for controlling said scanning means; wherein said scanning means includes two lenses, separated by a distance approximately equal to the focal length of one of the lenses, and at least one of said first and second lenses is movable perpendicular to said beam to scan said beam.
18. A scanning apparatus as claimed in claim 16, wherein said first and second lenses are arranged so that said beam passes through said second lens after said first lens, and the two lenses are separated by a distance approximately equal to the focal length of said second lens.
19. A scanning apparatus as claimed in either claim 17 or 18, wherein said laser means is an ablation laser.
20. A scanning apparatus as claimed in either claim 17 or 18, wherein said laser means is an UV ablation laser, or an infra-red ablation laser or an intrastromal ablation laser.
21. A scanning apparatus as claimed in either claim 17 or 18, wherein said laser means is an Argon fluoride excimer laser, a quintupled Nd:YAG UV ablation laser, a quadrupled Ti: Sapphire UV ablation laser, an Er:YAG infra-red ablation laser, or a Ho:YAG, Nd:YAG or Nd:YLF intrastromal ablation laser.
22. A scanning apparatus as claimed in any one of claims 17 to 21, wherein said scanning means is controllable to scan said laser beam.
23. A scanning apparatus as claimed in claim 22, wherein said scanning means is controllable to scan said laser beam in predetermined patterns .
24. A scanning apparatus as claimed in either claim 21 or
22, wherein said controlling means includes a microprocessor means or a computer means .
25. A scanning apparatus as claimed in any one of claims 17 to 24, wherein said material is human or animal tissue.
26. A scanning apparatus as claimed in any one of claims 17 to 25, wherein said apparatus is for performing refractive corrections of the eye by PRK, LASIK or intrastromal ablation.
27. A scanning apparatus as claimed in any one of claims 17 to 26, wherein said laser source is a pulsed visible or near infra-red laser, and said material is lens tissue of the eye and the apparatus is for breaking up the lens tissue by photodisruption prior to cataract surgery.
28. A scanning apparatus as claimed in either claim 17 or 18, wherein said apparatus is for scanning skin with any one of various laser beams by directing any one of said laser beams through said scanning means .
29. A scanning apparatus as claimed in claim 28, wherein said laser beams are provided by any laser source used for dermatological uses, hair removal or photodynamic therapy.
30. An apparatus as claimed in any one of claims 17 to 29, wherein said scanning means is controllable to scan said beam to follow, or compensate for, movements of said material .
31. An apparatus as claimed in any one of claims 17 to 30, wherein said first lens is mounted in a mount and said mount is attached to a static mount by means of two pairs of linear bearings or slides, and wherein said pairs of bearings or slides are either arranged with respect to each other, or attached to each other, at right angles.
EP98933357A 1997-07-16 1998-07-16 Laser scanning apparatus and method Withdrawn EP1004047A4 (en)

Applications Claiming Priority (3)

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AUPO790397 1997-07-16
AUPO7903A AUPO790397A0 (en) 1997-07-16 1997-07-16 Laser scanning apparatus and method
PCT/AU1998/000555 WO1999004303A1 (en) 1997-07-16 1998-07-16 Laser scanning apparatus and method

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EP1004047A1 true EP1004047A1 (en) 2000-05-31
EP1004047A4 EP1004047A4 (en) 2000-09-13

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WO1999004303A1 (en) 1999-01-28

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